| NPI | 1730861683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1129247) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TX 863941) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |